HCPCS L3420
Full sole and heel wedge, between sole
Current codeBelow Knee Orthotic30 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $33.60 | $84.00 |
| Deaconess Medical Center | — | $33.60 | $84.00 |
| Harborview Medical Center | — | $80.38 – $80.39 | $115 – $115 |
| Highline Medical Center | — | $25.26 | $82.70 |
| Mary Bridge Children's Hospital | — | $33.60 | $84.00 |
| MultiCare Auburn Medical Center | — | $33.60 | $84.00 |
| MultiCare Covington Medical Center | — | $33.60 | $84.00 |
| MultiCare Good Samaritan Hospital | — | $33.60 | $84.00 |
| MultiCare Valley Hospital | — | $33.60 | $84.00 |
| St Anthony Hospital | — | $25.16 | $82.70 |
| St Clare Hospital | — | $23.84 | $82.70 |
| St Elizabeth Hospital | $23.16 – $27.44 | $29.23 | $82.70 |
| St Francis Community Hospital | — | $25.96 | $82.70 |
| St Joseph Medical Center | — | $27.40 | $82.70 |
| St Michael Medical Center | — | $36.50 | $82.70 |
| Tacoma General Allenmore Hospital | — | $33.60 | $84.00 |
| University of Washington Medical Ctr | — | $101 | $145 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $65.62 (fee)